{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T23:37:09Z","timestamp":1724888229154},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,3]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The authors conducted a study to identify the effectiveness and morbidity rate associated with treating cervicothoracic disc disease (radiculopathy) via a posterior approach.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Nineteen patients underwent posterior cervicothoracic laminoforaminotomy during a 5.6-year period. Medical records, imaging studies, office charts, hospital records, and phone interview data were reviewed. Specific information analyzed included patient demographics, side of lesion, and conservative treatment, symptoms, and pre- and postoperative pain levels. Pain was rated using a visual analog scale and classified into a radicular and neck component.<\/jats:p>\n<jats:p content-type=\"fine-print\">Data in 19 patients (seven women and 12 men) who underwent 20 procedures (one patient underwent separate bilateral foraminotomies) were analyzed. The mean patient age was 54.8 years (range 38\u201373 years), and the follow-up period ranged from 23 to 62 months. Symptom duration ranged from 1 to 14 months (mean 3.4 months) and consisted of weakness, numbness, and painful radiculopathies in 11, 16, and 20 cases, respectively. Motor weakness was identified in 11 of 19 patients (mean grade of 4.35), and postoperatively strength normalized in eight of 11 (mean grade of 4.79). The improvement in motor scores was significant (p = 0.007). Pain was the most common presenting symptom. Preoperative radiculopathies were rated between 0 and 10 (mean 7.45), and postoperatively scores were reduced to 0 to 3 (mean 0.2) which was significant (p &lt; 0.0001). Preoperative neck pain was rated between 0 and 8 (mean 2.55), and on follow up ranged from 0 to 2 (mean 0.5), which was also significant (p = 0.001).<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> Posterior cervicothoracic foraminotomy was a safe and effective procedure in the treatment of patients with laterally located disc herniations.<\/jats:p>","DOI":"10.3171\/spi.2003.98.2.0131","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:59:32Z","timestamp":1241711972000},"page":"131-136","source":"Crossref","is-referenced-by-count":6,"title":["Cervicothoracic radiculopathy treated using posterior cervical foraminotomy\/discectomy"],"prefix":"10.3171","volume":"98","author":[{"given":"James S.","family":"Harrop","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco T.","family":"Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashwini D.","family":"Sharan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven J.","family":"Dante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick A.","family":"Simeone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg (Spine 1)","doi-asserted-by":"publisher","first-page":"51","DOI":"10.3171\/spi.2001.95.1.0051","article-title":"Microendoscopic posterior cervical laminoforaminotomy for unilateral radiculopathy: results of a new technique in 100 cases.","volume":"95","author":"Adamson","year":"2001"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"370","DOI":"10.3171\/jns.1990.72.3.0370","article-title":"Posterolateral microdiscectomy for cervical monoradiculopathy caused by posterolateral soft disc sequestration.","volume":"72","author":"Aldrich","year":"1990"},{"key":"b3","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2557","DOI":"10.1097\/00007632-199411001-00011","article-title":"Spinal disorders at the cervicothoracic junction.","volume":"19","author":"An","year":"1994"},{"key":"b4","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2906","DOI":"10.1097\/00007632-200011150-00012","article-title":"On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery.","volume":"25","author":"Apfelbaum","year":"2000"},{"key":"b5","series-title":"J Neurosurg (Spine 1)","doi-asserted-by":"publisher","first-page":"12","DOI":"10.3171\/spi.2001.94.1.0012","article-title":"Results and risk factors for anterior cervicothoracic junction surgery.","volume":"94","author":"Boockvar","year":"2001"},{"key":"b6","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"657","DOI":"10.3171\/jns.1985.62.5.0657","article-title":"Vocal cord paralysis associated with anterior cervical fusion: considerations for prevention and treatment.","volume":"62","author":"Bulger","year":"1985"},{"key":"b7","series-title":"J Neurosurg (Spine 1)","doi-asserted-by":"publisher","first-page":"126","DOI":"10.3171\/spi.2000.93.1.0126","article-title":"Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy.","volume":"93","author":"Burke","year":"2000"},{"key":"b8","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1097\/00002517-200102000-00004","article-title":"Comparison of biomechanical response to surgical procedures used for cervical radiculopathy: posterior keyhole foraminotomy versus anterior foraminotomy and discectomy versus anterior discectomy and fusion.","volume":"14","author":"Chen","year":"2001"},{"key":"b9","series-title":"Clin Neurosurg","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1093\/neurosurgery\/8.CN_suppl_1.93","article-title":"New methods of diagnosis and treatment of cervical disc disease.","volume":"8","author":"Cloward","year":"1962"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"602","DOI":"10.3171\/jns.1958.15.6.0602","article-title":"The anterior approach for removal of ruptured cervical disks.","volume":"15","author":"Cloward","year":"1958"},{"key":"b11","series-title":"Surgery","first-page":"175","article-title":"Complications of anterior cervical disc operation and their treatment.","volume":"69","author":"Cloward","year":"1971"},{"key":"b12","series-title":"Paraplegia","first-page":"70","article-title":"The international standards booklet for neurological and functional classification of spinal cord injury. 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